MEDICARE: NOBLE CARE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP2000X	Physical Therapy Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center
3	261QH0700X	Hearing and Speech Clinic/Center
4	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1548843899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE CARE CENTER LLC

Provider Business Mailing Address
First Line	:	662 ENCINITAS BLVD STE 216
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-6790
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2740 N CALIFORNIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-5529
Country	:	US
Telephone Number	:	209-466-3522
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AARON CHESLEY
Credential	:	NHA
Telephone Number	:	760-652-6354

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	01/26/2024

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Directions to “NOBLE CARE CENTER LLC ” Practice Location

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